Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,238.72 / $9,332.54	Facility		$588.84	$2,238.72	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,621.81	Professional		$398.11	$660.69	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $758.58	Professional		$416.87	$426.58	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $9,120.11	Facility		$2,238.72	$4,168.69	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $912.01	Professional		$549.54	$758.58	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $977.24	Professional		$416.87	$660.69	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,778.28	Professional		$436.52	$758.58	$1,778.28
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $645.65	Professional		$512.86	$575.44	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,079.46	Facility		$1,288.25	$3,548.13	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $977.24	Professional		$457.09	$588.84	$977.24